Cone Health Behavioral Health Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Cone Health Behavioral Health Hospital, Greensboro, NC in 2024, from traditional Medicare claims. Back to the Cone Health Behavioral Health Hospital profile, with quality ratings, finances and negotiated rates.
4,952
Medicare inpatient discharges
In 129 published DRGs
1.95
Case mix index
IPPS FY 2027
23%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
4,229
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system1,127 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 373 | $29,637 | $9,467 | $8,743 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 70 | $73,693 | $24,022 | $21,739 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 68 | $17,526 | $5,640 | $5,170 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 54 | $41,557 | $10,824 | $12,259 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 53 | $33,509 | $8,656 | $9,885 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 51 | $71,453 | $13,771 | $21,079 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 47 | $24,561 | $6,550 | $7,245 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $75,361 | $11,033 | $22,232 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 29 | $56,600 | $14,105 | $16,697 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 28 | $177,994 | $35,271 | $52,508 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 27 | $95,636 | $18,014 | $28,213 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $40,384 | $7,489 | $11,913 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 24 | $214,440 | $46,548 | $63,260 | 6.25 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $96,640 | $25,720 | $28,509 | 3.35 |
| Other vascular procedures with CCMS-DRG 253, surgical | 20 | $86,656 | $17,895 | $25,564 | 2.55 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $15,405 | $4,388 | $4,544 | 0.55 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $143,018 | $23,566 | $42,190 | 4.04 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 15 | $107,687 | $36,578 | $31,768 | 5.06 |
| Hypertension with MCCMS-DRG 304, medical | 15 | $31,313 | $7,785 | $9,237 | 1.15 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 14 | $178,612 | $34,984 | $52,691 | 5.20 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 14 | $113,386 | $23,653 | $33,449 | 3.46 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $29,522 | $6,519 | $8,709 | 0.91 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 13 | $201,189 | $38,037 | $59,351 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 13 | $238,744 | $55,605 | $70,430 | 7.80 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $55,609 | $9,313 | $16,405 | 1.58 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 12 | $253,308 | $61,189 | $74,726 | 7.71 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 12 | $86,787 | $22,800 | $25,602 | 4.81 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 11 | $73,618 | $20,359 | $21,717 | 2.81 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 11 | $60,875 | $13,558 | $17,958 | 1.97 |
Infectious and parasitic diseases691 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 506 | $45,838 | $13,575 | $13,522 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 67 | $105,064 | $33,179 | $30,994 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 67 | $27,357 | $7,336 | $8,070 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 33 | $123,213 | $43,208 | $36,348 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $64,005 | $14,306 | $18,881 | 2.04 |
Respiratory system674 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 162 | $31,651 | $9,167 | $9,337 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 138 | $37,264 | $11,906 | $10,993 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 76 | $29,792 | $7,532 | $8,789 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 71 | $34,563 | $9,361 | $10,196 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 53 | $20,539 | $6,337 | $6,059 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 50 | $37,863 | $10,275 | $11,169 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 33 | $23,555 | $7,705 | $6,949 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 24 | $27,212 | $6,430 | $8,028 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $75,115 | $17,775 | $22,159 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 20 | $28,727 | $6,581 | $8,475 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $22,476 | $6,761 | $6,630 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $91,247 | $13,493 | $26,918 | 2.55 |
Digestive system538 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 110 | $29,056 | $7,326 | $8,572 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 91 | $21,562 | $5,690 | $6,361 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 67 | $48,229 | $12,218 | $14,228 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 35 | $21,720 | $6,208 | $6,407 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 34 | $66,758 | $16,303 | $19,694 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 34 | $26,152 | $7,169 | $7,715 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 33 | $121,956 | $35,580 | $35,977 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $32,593 | $8,834 | $9,615 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 17 | $25,609 | $11,074 | $7,555 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $18,262 | $4,304 | $5,387 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $50,307 | $12,424 | $14,841 | 1.62 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 14 | $50,891 | $11,486 | $15,013 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $28,414 | $7,467 | $8,382 | 1.04 |
| Digestive malignancy with CCMS-DRG 375, medical | 12 | $24,249 | $9,545 | $7,154 | 1.20 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $37,359 | $15,293 | $11,021 | 2.10 |
| Appendix procedures with CCMS-DRG 398, surgical | 11 | $47,213 | $10,181 | $13,928 | 1.51 |
Musculoskeletal system and connective tissue480 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 76 | $54,651 | $14,524 | $16,122 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 70 | $52,370 | $13,646 | $15,449 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 52 | $62,399 | $15,156 | $18,408 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 31 | $28,448 | $7,506 | $8,392 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 25 | $63,964 | $19,569 | $18,869 | 2.95 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 23 | $80,843 | $16,856 | $23,849 | 2.67 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $71,755 | $21,019 | $21,168 | 2.99 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 20 | $132,472 | $28,352 | $39,079 | 4.61 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 20 | $51,225 | $19,468 | $15,111 | 3.00 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $78,687 | $23,274 | $23,213 | 3.49 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $74,836 | $18,555 | $22,077 | 2.48 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $102,845 | $25,018 | $30,339 | 3.66 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 14 | $18,822 | $9,766 | $5,552 | 1.30 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $148,981 | $40,815 | $43,949 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $67,479 | $19,692 | $19,906 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $42,553 | $13,840 | $12,553 | 2.04 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $16,093 | $5,972 | $4,747 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $63,485 | $16,313 | $18,728 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $23,648 | $6,152 | $6,976 | 0.90 |
Kidney and urinary tract461 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 92 | $34,150 | $11,233 | $10,074 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 92 | $20,655 | $6,872 | $6,093 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 74 | $27,306 | $9,094 | $8,055 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 67 | $21,203 | $6,324 | $6,255 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 67 | $32,967 | $12,219 | $9,725 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 28 | $24,712 | $7,459 | $7,290 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 18 | $76,354 | $24,081 | $22,524 | 3.70 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 12 | $65,847 | $9,574 | $19,425 | 1.48 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $43,110 | $10,409 | $12,718 | 1.35 |
Nervous system404 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 80 | $43,430 | $13,964 | $12,812 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 70 | $30,089 | $7,520 | $8,876 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 34 | $56,138 | $11,785 | $16,561 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 29 | $29,935 | $6,693 | $8,831 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 27 | $124,910 | $36,132 | $36,848 | 5.67 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 23 | $43,959 | $12,419 | $12,968 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $29,491 | $8,287 | $8,700 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 19 | $30,480 | $8,293 | $8,992 | 1.03 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 16 | $60,718 | $14,195 | $17,912 | 1.81 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 15 | $76,430 | $17,800 | $22,547 | 2.30 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 14 | $28,327 | $10,574 | $8,356 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $44,129 | $13,119 | $13,018 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $30,327 | $5,073 | $8,947 | 0.69 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 11 | $99,439 | $27,482 | $29,334 | 3.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $30,646 | $8,651 | $9,041 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $24,449 | $6,710 | $7,212 | 0.80 |
Endocrine, nutritional and metabolic229 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 77 | $23,318 | $6,140 | $6,879 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 62 | $28,698 | $10,054 | $8,466 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 30 | $21,072 | $7,265 | $6,216 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 18 | $33,852 | $11,951 | $9,986 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $35,563 | $10,584 | $10,491 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 14 | $43,800 | $12,177 | $12,921 | 1.98 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $27,621 | $7,268 | $8,148 | 1.06 |
Liver, gallbladder and pancreas82 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 25 | $34,927 | $8,029 | $10,303 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $42,635 | $10,457 | $12,577 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $24,851 | $6,973 | $7,331 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $23,833 | $6,380 | $7,031 | 0.95 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $49,930 | $11,549 | $14,729 | 1.63 |
Blood and immune system80 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 65 | $21,102 | $6,212 | $6,225 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $38,753 | $10,506 | $11,432 | 1.40 |
Skin, subcutaneous tissue and breast59 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 44 | $18,134 | $6,270 | $5,350 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $28,666 | $11,175 | $8,457 | 1.49 |
Factors influencing health status47 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 34 | $14,342 | $5,178 | $4,231 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $18,447 | $6,257 | $5,442 | 0.80 |
Injuries, poisonings and toxic effects of drugs35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 22 | $47,425 | $11,560 | $13,990 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $51,896 | $14,556 | $15,309 | 1.82 |
Other22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 22 | $120,446 | $33,108 | $35,532 | 4.74 |
Transplants, ECMO and tracheostomy (pre-MDC)12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $216,044 | $76,604 | $63,733 | 14.70 |
Alcohol and drug use11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 11 | $60,464 | $12,175 | $17,837 | 1.78 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 666 | 626 | $14,564 | $1,904 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 389 | 370 | $44,297 | $10,107 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 219 | 215 | $21,150 | $2,048 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 211 | 183 | $14,967 | $2,220 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 206 | 167 | $13,405 | $2,442 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 181 | 175 | $80,595 | $15,050 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 168 | 152 | $22,853 | $3,631 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 144 | 142 | $109,715 | $18,847 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 143 | 129 | $7,936 | $1,309 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 136 | 134 | $26,523 | $5,038 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 128 | 126 | $9,084 | $1,128 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 117 | 117 | $28,927 | $4,018 | $4,358 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 110 | 102 | $14,744 | $2,625 | $2,930 |
| Level 3 Endovascular ProceduresAPC 5193 | 91 | 88 | $47,906 | $7,867 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 84 | 83 | $14,077 | $1,980 | $2,141 |
| Level 1 Intraocular ProceduresAPC 5491 | 84 | 46 | $11,076 | $1,664 | $1,752 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 82 | 71 | $13,758 | $2,471 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 80 | 79 | $17,182 | $2,285 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 80 | 60 | $8,942 | $1,432 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 73 | 67 | $6,356 | $1,126 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 70 | 51 | $20,344 | $2,968 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 63 | 62 | $36,396 | $7,937 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 60 | 60 | $56,076 | $7,597 | $8,164 |
| Level 5 Airway EndoscopyAPC 5155 | 58 | 56 | $21,846 | $4,807 | $5,183 |
| Level 2 Endovascular ProceduresAPC 5192 | 58 | 56 | $25,208 | $4,014 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 54 | 53 | $25,591 | $5,255 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 53 | 53 | $25,285 | $4,397 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 47 | 46 | $8,864 | $1,100 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 43 | 43 | $16,568 | $2,614 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 42 | 42 | $11,793 | $1,995 | $2,176 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 41 | $62,916 | $14,066 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 36 | 36 | $15,166 | $2,234 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 32 | 31 | $46,470 | $6,424 | $7,291 |
| Level 5 ENT ProceduresAPC 5165 | 30 | 29 | $20,889 | $3,906 | $4,436 |
| Level 1 Nerve ProceduresAPC 5431 | 30 | 29 | $8,003 | $1,260 | $1,407 |
| Level 3 Airway EndoscopyAPC 5153 | 27 | 27 | $9,495 | $1,213 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 21 | 21 | $87,589 | $26,260 | $29,375 |
| Level 3 Upper GI ProceduresAPC 5303 | 19 | 16 | $16,424 | $2,737 | $2,888 |
| Level 2 Intraocular ProceduresAPC 5492 | 16 | 14 | $26,764 | $2,906 | $3,116 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $58,143 | $15,809 | $17,052 |
| Complex GI ProceduresAPC 5331 | 11 | $21,695 | $4,073 | $4,263 | |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $129,125 | $26,143 | $26,719 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.